{template index/head}		
<link rel="stylesheet" href="{STATICDIR}index/css/personal_zfb.css" />
<link rel="stylesheet" href="{STATICDIR}index/css/personal_spfl.css" />
<section class="box index-page">
	<header>
		<!--<a class="logo" href="javascript:history.back();"></a>-->
		<i>申请返现</i>
	</header>
	<div id="scroll-web" class="section-main">
		<section class="personal_list">
		<div class="personal_news">
			<form id="savedata">
				<ul>
					<li>
						<label>
							<em class="xm">请选择产品</em>
							<select id="chanpin" name="chanpin" onchange="getChanpinItem(this)">
								<option value="">请选择产品</option>
								{loop $list $k $v}
								<option value="{$v[id]}">{$v[name]}</option>
								{/loop}
							</select>
						</label>
					</li>
					<li>
						<label>
							<em class="xm">请选择投资项目</em>
							<select id="item" name="item">
								<option value="">请选择投资项目</option>
							</select>
						</label>
					</li>
					<li><label><em class="xm">请输入投资金额（元）</em><input class="text" id="text_xm" type=text value="" ><input style="display:none" ></label></li>
				</ul>
				<span style="line-height:.4rem;letter-spacing:-.015rem">正常情况下，申请返利后，第二天返利到达虚拟账户，<br/>可在余额查看。如遇其他问题，工作人员会进一步和您联系！</span>
				<input class="submit" name="submit1" id="submit1" type="button" value="提 交" onclick="saveApply_fanli(this.form);"/>
				
			</form>
		</div>	
	</section>
	</div>
	{template index/menu}	
</section>
{template index/foot}	